Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Glenn Jacob Fairhurst

Individual provider Mental Health Counselor · NPI 1982467361

Glenn Jacob Fairhurst is a Mental Health Counselor in Great Falls, Montana. Licensed in Montana. Registered with an NPI since 2024.

Licensed in
MT
In the registry since
2024

Practice location Address checks out

33 Division Rd Unit 1
Great Falls, MT 59404-1410
Phone: (406) 781-2074
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence BBHPCLCLIC70082 (MT)

Record details

NPI number1982467361
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 30, 2024
Last updated in NPPESJanuary 30, 2024
Certification dateJanuary 30, 2024
Mailing address33 Division Rd Unit 1, Great Falls, MT 59404-1410

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